Individual provider Active NPI

Michael A Romandetti, PT

  • Physical Therapist
  • Boston, MA
National Provider Identifier
1275652398
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305208064 Issued in VA
Practice address
15 Parkman St
Wang Ambulatory Care Center, Room 134
Boston, MA 02114-3117
Phone
(617) 726-3023
NPI assigned
Mar 28, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2305208064 VA Primary

Addresses

Primary practice location

15 Parkman St
Wang Ambulatory Care Center, Room 134
Boston, MA 02114-3117

Mailing address

12516 Percival St
Apt 2
Chester, VA 23831-4435
Phone (845) 224-5261

Other practice location 1

4616 Chester Square Rd
Chester, VA 23831-1726
Phone (804) 581-5060

Other practice location 2

219 Weaver Ave
Emporia, VA 23847-1248
Phone (434) 336-5300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170126000663 VA Practitioner - Physical Therapist in Private Practice 3971885997 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

219 Weaver Ave
Emporia, VA 23847-1248
Phone (434) 336-5300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2305208064VAMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Romandetti Rehabilitation Services, LLC Physical Therapist CurrentSince Jul 27, 2016 Accepting new patients

Locations

4616 Chester Square Rd
Chester, VA 23831
Phone (804) 581-5060

219 Weaver Ave
Emporia, VA 23847
Phone (434) 336-5300

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762992000000",
    "number": "1275652398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12516 PERCIVAL ST",
            "address_2": "APT 2",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238314435",
            "telephone_number": "845-224-5261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 PARKMAN ST",
            "address_2": "WANG AMBULATORY CARE CENTER, ROOM 134",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021143117",
            "telephone_number": "617-726-3023"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4616 Chester Square Rd",
            "address_purpose": "LOCATION",
            "city": "Chester",
            "state": "VA",
            "postal_code": "238311726",
            "country_code": "US",
            "telephone_number": "804-581-5060",
            "fax_number": "804-581-5061",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "219 Weaver Ave",
            "address_purpose": "LOCATION",
            "city": "Emporia",
            "state": "VA",
            "postal_code": "238471248",
            "country_code": "US",
            "telephone_number": "434-336-5300",
            "fax_number": "434-336-5301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROMANDETTI",
        "first_name": "MICHAEL",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-28",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305208064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.